Active NPI
Evans Louis Roberts III
- Anatomic Pathology & Clinical Pathology Physician
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- ME132844
- Practice address
- 800 Meadows Road
Boca Raton, FL 33486-2304 - Phone
- (561) 955-7100
- NPI assigned
- Apr 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ME132844 | FL | Primary |
Addresses
Primary practice location
800 Meadows Road
Boca Raton, FL 33486-2304
Mailing address
PO Box 63069
North Charleston, SC 29419-3069
Phone (561) 955-7100
Other practice location 1
4517 Jeannette Dr
Metairie, LA 70003-2818
Phone (218) 430-6015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1990 Industrial Blvd
Houma, LA 70363-7055
Phone (985) 868-9300
1990 Industrial Boulevard
Houma, LA 70363-7055
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Louisiana Medical Associates | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| South Louisiana Medical Associates | Current | Accepting new patients | |
| South Louisiana Medical Associates | Past | Accepting new patients |
Locations
1990 Industrial Blvd
Houma, LA 70363
Phone (985) 868-9300
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Houma, LA
- NPI 1942301379
Anatomic Pathology & Clinical Pathology
-
- Durable Medical Equipment & Medical Supplies
- Houma, LA
- NPI 1699218131
-
- Internal Medicine Physician
- Houma, LA
- NPI 1710944012
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houma, LA
- NPI 1326485749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1689931966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 63069",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294193069",
"telephone_number": "561-955-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MEADOWS ROAD",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334862304",
"telephone_number": "561-955-7100"
}
],
"practiceLocations": [
{
"address_1": "4517 Jeannette Dr",
"address_purpose": "LOCATION",
"city": "Metairie",
"state": "LA",
"postal_code": "700032818",
"country_code": "US",
"telephone_number": "218-430-6015",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "EVANS",
"middle_name": "LOUIS",
"name_prefix": "Mr.",
"name_suffix": "III",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-11",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "FL",
"license": "ME132844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.